title: Mersilene Mesh Brow Suspension: A New Modified Fox's Procedure - Five Years Clinical Experience.
abstract: OBJECTIVE
  The aiming was to study the long-term clinical outcome and the merit of the author's modification of the fox's procedure.
  
  
  METHODS
  Mersilene mesh brow suspension (MMBS) procedure was performed in 50 upper lids with severe blepharoptosis and poor levator function.
  
  
  RESULTS
  The improvement in lid height was evaluated by preoperative and postoperative vertical palpebral aperture measurements and ranged from 2 to 6 mm (average 4 mm). The functional and cosmetically accepted results were maintained in 94% of the lids during mean follow-up of 39.4 months.
  
  
  CONCLUSIONS
  In the present non-comparative study we believe that late Mersilene knot extrusion and forehead granuloma formation can be prevented by the modification adopted by the authors.
authors.affiliation: Research Institute of Ophthalmology, Giza, Egypt.
authors.forename: Amr
authors.initials: A
authors.lastname: Hafez
authors.forename: Mohamed S
authors.initials: MS
authors.lastname: Mahmoud